Individual
JEFFREY P SHAFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
77 N AIRLITE STREET, ELGIN, IL 60123
(847) 931-5520
(847) 695-3319
Mailing address
77 N AIRLITE STREET, ELGIN, IL 60123
(847) 931-5520
(847) 695-3319
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0360796721
—
IL
Enumeration date
07/12/2006
Last updated
07/08/2007
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